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Vermont rates for HCPCS 92015

Determination of refractive state

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $24.55 / $24.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $19.95 / $31.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $64.57 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $19.95 / $44.67
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $28.18 / $37.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $22.39 / $58.88